39D2309856 CLIA NUMBER - DIVINITY HOMECARE SERVICES, LLC

Laboratory Demographics

  • CLIA Code: 39D2309856
  • Facility Name: DIVINITY HOMECARE SERVICES, LLC
  • Facility Address: 313 BAINBRIDGE ST FL 1
    PHILADELPHIA, PA
    ZIP 19147
  • Facility Phone: 267 348-4248
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: HAKIM T. UQDAH
  • NPI Number: 1144713140
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 39D2309856
LAB Type Home Health Agency
Facility Name DIVINITY HOMECARE SERVICES, LLC
Street 313 BAINBRIDGE ST FL 1
City PHILADELPHIA
State PA
ZIP 19147
Phone 267 348-4248
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2024
Certificate Expiration Date 8/21/2026
Facility Type Home Health Agency
Lab Director HAKIM T. UQDAH

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This page was last updated on: 9/29/2025